• Title/Summary/Keyword: 증상조절

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Metastatic Hepatocellular Carcinoma to the Distal Phalanx: a Case Report and Review of Literature (간세포 암종의 손가락으로의 전이: 증례 보고 및 문헌 고찰)

  • Park, Joo-Hyun;Lee, Jung-Kwon;Jung, Da-Eun;Ahn, Soo-Min;Lee, Kyung-Min;Kim, Bo-Kyoung
    • Journal of Hospice and Palliative Care
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    • v.15 no.2
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    • pp.108-111
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    • 2012
  • Metastatic tumors to the hand are rare and often overlooked by clinicians. Here, we report a rare case of phalangeal metastasis of right 4th finger in a patient with hepatocellular carcinoma. Treatment was given with right 4th finger disarticulation. This report suggests that physicians must take consideration into the possibility of metastatic tumors in patients with bone lesions on hands and a history of malignancy.

Effect of supportive periodontal treatment in the oral lichen planus patients (구강편평태선 환자에서 보조적 치주치료의 효과)

  • Kwon, Eun-Young;Choi, Jeomil;Lee, Ju-Youn
    • Journal of Dental Rehabilitation and Applied Science
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    • v.31 no.2
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    • pp.134-142
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    • 2015
  • Lichen planus is an immune-mediated mucocutaneous disease, affects more frequently middle-aged Caucasian women and makes signs and symptoms in the oral mucosa. Cutaneous lichen planus lesions cause itching but they are self-limiting, oral lichen planus lesions are usually chronic, recalcitrant to treatment and potentially premalignant in some cases. Although, oral lichen planus is non-plaque related disease, they possess particular problems because plaque control is complicated by pain and bleeding and might cause plaque-related disease. The resulting condition comprises accumulations of plaque, which again can influence the progress of oral lichen planus with burning sensation, spontaneous gingival bleeding. Thus, it should be noted that both medication and supportive periodontal treatment are essential for the remission of the lesions. This case report introduces topical corticosteroid therapy and supportive periodontal treatment including intensive oral hygiene procedures to obtain an improvement of subjective symptoms and objective changes and to prevent relapse the lesions.

A Qualitative Study on Korean American Older Adults' Depression in Chicago: Focusing on Acculturation, Health, Socioeconomic Status, and Perceived Respect (시카고 지역의 한인 이민자 우울증에 대한 질적 연구: 문화동화, 건강, 사회경제적 상황과 존경심을 중심으로)

  • Sim, Kyung-Soo;Park, Keun-Young
    • 한국노년학
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    • v.37 no.1
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    • pp.33-54
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    • 2017
  • This narrative-based study explored the extent to which acculturation level, health condition and SES influence depressive symptoms mediated or moderated by perceived respect of Korean-American older adults in the Chicago metropolitan and its suburban area. For the purpose of the study, qualitative interviews were performed and obtained robust data from 2 focus groups, 2 in-depth interviews. This study produced results by ATLAS. ti,. Qualitative analysis revealed that acculturation could influence depressive symptoms and that depressive symptoms could also be associated with hope and communication. These findings suggested that services given by service providers need to focus on communication and respect of the older Korean-American immigrants' self-determination, for they depend on it greatly when faced with the sufferings from various depressive mood changes in adjusting to new residences.

Influence of academic stress, menstrual attitude on dysmenorrhea in high school girls (여고생의 학업 스트레스와 월경 태도가 월경곤란증에 미치는 영향)

  • Song, Ji-Ah
    • Journal of Industrial Convergence
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    • v.19 no.5
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    • pp.111-118
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    • 2021
  • This study was conducted to examine the academic stress, menstrual attitude, and dysmenorrhea of adolescents and to understand their effects on dysmenorrhea. The subjects of the study were high school girls and 131 people who agreed to participate in the study were analyzed. Correlation analysis shows that the more negative the person is about menstruation, the more severe the physical symptoms, the more active the action, and the greater the emotional change, the more severe the person experienced dysmenorrhea. Factors affecting dysmenorrhea in adolescents were physical symptoms and positive acceptance among menstrual attitudes, and 68.8 percent explained the variable. In conclusion, considering the positive acceptance of menstruation and physical symptoms of adolescents, it is necessary to develop educational programs that provide integrated knowledge to manage dysmenorrhea in school health, and further individual and multidimensional approaches such as emotional support programs for negatively experienced emotions.

Effect of Storage Temperature on Fruit Quality Attributes and Storage Disorders in Cold-stored 'Sangjudungsi' Persimmon Fruit (저온저장 온도가 '상주둥시' 감의 과실품질 및 저장장해 발생에 미치는 영향)

  • Yoo, Jingi;Kang, In-Kyu;Park, Jun-yeun;Kim, Kyoung-ook;Win, Nay Myo;Ryu, Seulgi;Kim, Dae Hyun;Choung, Myoung-Gun;Lee, Jinwook
    • Journal of Bio-Environment Control
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    • v.25 no.4
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    • pp.262-269
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    • 2016
  • The objective of this study was to evaluate the effect of storage temperature on fruit quality attributes and physiological disorders including peel blackening in 'Sangjudungsi' persimmon (Diospyros kaki Thunb.) fruit stored in air at -1, 0.5 or $3^{\circ}C$ for up to 3 months. Higher storage temperature reduced ethylene production but not respiration rate, compared with lower storage temperature. Flesh firmness decreased continuously as storage time passed but firmness was reduced rapidly in the fruits stored at higher storage temperature. Fresh weight loss increased at higher storage temperatures. Soluble solids content was higher at lower storage temperature than at higher storage temperature. All color variables ($L^*$, $a^*$, $b^*$) were reduced by lower storage temperature, compared with higher storage temperature, regardless of tissue regions. Fruit softening increased as storage duration advanced and with the increase in storage temperature. Results indicated that the 'Sangjudungsi' persimmon fruits stored at higher storage temperature ($3^{\circ}C$) could not retain fruit quality properly on account of lower flesh firmness and higher incidence of peel blackening and fruit decay, compared with lower storage temperature.

Analysis of Bacterial Wilt Symptoms using Micro Sap Flow Sensor in Tomatoes (식물 생체정보 센서를 활용한 토마토 풋마름병 증상 분석)

  • Ahn, Young Eun;Hong, Kue Hyon;Lee, Kwan Ho;Woo, Young Hoe;Cho, Myeong Cheoul;Lee, Jun Gu;Hwang, Indeok;Ahn, Yul Kyun
    • Journal of Bio-Environment Control
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    • v.28 no.3
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    • pp.212-217
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    • 2019
  • Bacterial wilt caused by Ralstonia solanacearum is a major disease that affects tomato plants widely. R. solanacearum is a soil born pathogen which limits the disease control measures. Therefore, breeding of resistant tomato variety to this disease is important. To identify the susceptible variety, degree of disease resistance has to be determined. In this study, micro sap flow sensor is used for accurate prediction of resistant degree. The sensor is designed to measure sap flow and water use in stems of plants. Using this sensor, the susceptibility to bacterial wilt disease can be identified two to three days prior to the onsite of symptoms after innoculation of R. solanacearum. Thus, this find of diagnosis approach can be utilized for the early detection of bacterial wilt disease.

Self-respect Moderating Effects on Adolescents with Emotional Problems due to Neglect and Abusive Experiences (방임 및 학대경험이 청소년의 정서문제에 미치는 영향에 대한 자아존중감 조절효과)

  • Kim, Sug-Hyang;Kim, Hyung-Mo
    • The Journal of the Korea Contents Association
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    • v.18 no.2
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    • pp.26-36
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    • 2018
  • The purpose of this study is to verify the self-respect moderating effect on adolescents with emotional problems because of neglect and abusive experiences. The results are as follows: First, the level of abusive experiences was higher than that of neglect in adolescents. General characteristics including genders and individual family situations were found to be the influences causing emotional problems in adolescents. Second, adolescents with high levels of neglect and abuse experienced high levels of depression, social anxiety, aggression and physical symptoms. Third, even though self-respect did not have a strong moderating effect on the emotional problems of adolescents who suffered neglect and abuse, there was a difference between the abuse experience and the emotional problem in the inclination test results for the high and low group based on the average of the self-respect of the respondents. The results of this study suggest that the need for a stronger variable to reduce the negative emotional state among adolescents experiencing neglect and abuse is related to emotional problems.

Modulative Effect of Human Hair Dermal Papilla Cell Apoptosis by Oregonin from the Braches of Alnus japonica (오리나무 가지 유래 Oregonin의 인체 모유두 세포 Apoptosis 조절 효능)

  • Lee, Gyeong Hwa;Park, Kwang Hyun;Choi, Sun Eun
    • Korean Journal of Plant Resources
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    • v.31 no.4
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    • pp.322-329
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    • 2018
  • A diarylheptanoid, (5S)-1,7-bis-(3,4-dihydroxyphenyl)-5-hydroxyheptane-3-one-5-O-${\beta}$-D-xylopyranoside, named oregonin (1), was isolated from the of Alnus japonica (A. japonica), which is a species of the genus Betulaceae, growing throughout Korea, Japan and China. The structure was elucidated by various spectroscopic methods including negative and positive LC/MS, 1H-NMR, and 13C-NMR techniques or by comparison with authentic samples. In order to evaluate the anti-oxidative activities of oregonin (1) isolated from A. japonica, 1,1-diphenyl-2-picryhydrazyl (DPPH) radical scavenging activity and 2,2'-azino-bis[3-ethylbenzothiazoline-6-sulphonic acid] (ABTS) radical scavenging activity were measured in vitro. Oregonin from A. japonica exhibited potent DPPH and ABTS radical scavenging activities. A. japonica shows not only 1,1-diphenyl-2-picryhydrazyl (DPPH) radical scavenging activity and ABTS radical scavenging activity, but also apoptosis modulative effects. The present results indicate that A. japonica could be a hair-growth-promoting agent for cosmetic products.

A CASE OF CLOZAPINE TRIAL FOR A MANIC EPISODE SUFFERED BY AN ADOLESCENT RECOVERING FROM NEUROLEPTIC MALIGNANT SYNDROME (신경이완제 악성증후군 회복후 지속되는 조증에 Clozapine을 사용한 청소년 환자 1례)

  • Cho, Soo-Churl;Hong, Kang-E;Kim, Yong-Sik;Chung, Sun-Ju;Bahn, Geon-Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.9 no.2
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    • pp.247-252
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    • 1998
  • Neuroleptic malignant syndrome(NMS) is an acute, potentially fatal, idiosyncratic reaction to neuroleptic medication. Early recognition and intensive care are crucial. An important issue is whether NMS will recur after initial recovery and subsequent use of neuroleptic medication. The authors presented with a male adolescent who had suffered a bipolar disorder manic episode and been taking clozapine after recovering from MNS. He had been admitted into a psychiatric ward once before and similarly diagnosed. On the second admission, he showed muscle rigidity, autonomic instability, mild fever, severe diaphoresis, and altered mental status on the fourth hospital day following a haloperidol injection. He was diagnosed with NMS, according to the clinical signs and laboratory data. After the use of antipsychotics was discontinued, he was moved to intensive care unit and given dantrolene. His condition began to improve about 48 hours after the onset of NMS. Due to manic behavior, he returned to the psychiatric ward. On the 21 st hospital day, clozapine was administered to counter the manic symptoms. The final dose was 350mg and showed good remission signs without further recurrence of NMS.

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Clinical Prognostic Factors of Terminal Cancer Patients with Palliative Procedures for Malignant Gastrointestinal Obstruction (완화적 시술을 받은 악성 위장관 폐색 말기 암환자의 임상적 예후인자)

  • Moon, Do-Ho;Choe, Wha-Sook
    • Journal of Hospice and Palliative Care
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    • v.8 no.2
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    • pp.200-208
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    • 2005
  • Purpose: Palliative procedures or surgical interventions not only manage various symptoms of malignant gastrointestinal obstruction, but also improve the quality of life. We investigated the clinical characteristics and prognostic factors of terminal cancer patients with palliative procedures for malignant gastrointestinal obstruction. Methods: We retrospectively reviewed the medical records of 48 terminal cancer patients with palliative procedures for malignant gastrointestinal obstruction at Sam Anyang hospital from May in 2002 to May in 2005. We excluded patients with palliative tumor resection. We analyzed prognostic factors in symtom-free survival and overall survival using Kaplan-Meier method, univariate and multivariate analysis. Results: There were 25 males (52%) and 23 females (48%), and median age of 48 patients was 65 years. The most common cause of malignant gastrointestinal obstruction was colorectal (26 patients, 55%), followed by stomach (10, 21%). Twenty patients (42%) received previous treatment (chemotherapy, surgery, and radiotherapy) and 28 (58%) never received any. Eighteen of 20 had received chemotherapy. The most common symptom was pain (15 patients, 31%). Twenty three patients (48%) had Eastern Cooperative Oncology Group(ECOG) performance status of 1 or 2 score and 25 patients (52%) 3 or 4 score. The most common palliative procedure was colostomy and there was no mortality concerning the palliative procedures. By univariate and multivariate analysis, performance status was the only independent prognostic factor in overall survival and symptom-free survival. Overall survival was 150 days and symptom-free survival was 90 days. Conclusion:. We confirmed that perftatdormance status is significant independent prognostic factor in terminal cancer patients with palliative procedures for malignant gastrointestinal obstruction.

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